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November 18, 2016Journal of Neurocritical CareOpen Access

Higher CHA2DS2-VASc scores were significantly correlated with increased left atrial volume index (r=0.325, P=0.002) and elevated serum D-dimer levels (r=0.309, P=0.006) in NVAF patients with stroke.

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Why the study?

Are CHA2DS2-VASc scores associated with left atrial enlargement and serum D-dimer levels in anticoagulation-naïve patients with acute ischemic stroke due to NVAF?

Population

98 anticoagulation-naïve patients presenting with acute ischemic stroke due to non-valvular atrial…

Design

Cross-sectional

Key result

Higher CHA2DS2-VASc scores were significantly correlated with increased left atrial volume index (r=0.325, P=0.002) and elevated serum D-dimer levels (r=0.309, P=0.006) in NVAF patients with stroke.

Authors

TKTae‐Won KimSJSung-Woo JungKLKwang‐Soo Lee

Discussion

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Member takes

Overview

May inform integrated risk models in NVAF stroke; leaves open whether LA volume or D-dimer refines CHA2DS2-VASc utility.

Study Design

Type

Cross-Sectional (n=98)

Structured PICO

Are CHA2DS2-VASc scores associated with left atrial enlargement and serum D-dimer levels in anticoagulation-naïve patients with acute ischemic stroke due to NVAF?

P
Population
98 anticoagulation-naïve patients presenting with acute ischemic stroke due to non-valvular atrial fibrillation.
O
Outcome
Correlation between CHA2DS2-VASc scores and left atrial volume index (LAVI) and serum D-dimer levelssurrogate

Main Result

Effect estimate: r=0.325 (LAVI); r=0.309 (D-dimer)

p-value: P=0.002 (LAVI); P=0.006 (D-dimer)

Higher CHA2DS2-VASc scores correlate with left atrial enlargement and elevated D-dimer levels in anticoagulation-naïve patients with NVAF and acute ischemic stroke, suggesting these factors contribute to thrombogenesis.

Cite This Study

Kim et al. (2016) conducted a cross-sectional in Acute ischemic stroke due to non-valvular atrial fibrillation (NVAF) (n=98). CHA2DS2-VASc score was evaluated on Correlation of CHA2DS2-VASc scores with left atrial volume index (LAVI) and serum D-dimer levels (r=0.325 (LAVI); r=0.309 (D-dimer), p=P=0.002 (LAVI); P=0.006 (D-dimer)). Higher CHA2DS2-VASc scores were significantly correlated with increased left atrial volume index (r=0.325, P=0.002) and elevated serum D-dimer levels (r=0.309, P=0.006) in NVAF patients with stroke.

synapsesocial.com/papers/6ab46b86a8cf83b1ebb8a6c3https://doi.org/10.18700/jnc.160074
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CHA2DS2-VASc score and left atrial volume dilatation synergistically predict incident atrial fibrillation in hypertension: an observational study from the Campania Salute Network registry2019 · 7 citations
  2. 2Association of the CHADS2 and CHA2DS2-VASc scores with left atrial enlargement: a prospective cohort study of unselected atrial fibrillation patients2014 · 27 citations
  3. 3Risk factors of thromboembolism in nonvalvular atrial fibrillation patients with low CHA2DS2-VASc score2019 · 16 citations
  4. 4Relationship of CHA2DS2-VASc and CHADS2 Score to Left Atrial Remodeling Detected by Velocity Vector Imaging in Patients with Atrial Fibrillation2013 · 17 citations
  5. 5Association between CHA2DS2-VASc score and left atrial function by speckle-tracking echocardiography in patients with sinus rhythm2026